Kalan Andersen, LMT
Massage Therapist in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104414580
StatusActive
Last updated in NPPESJan 1, 2021
Details
- NPI
- 1104414580
- Entity type
- Individual (NPI-1)
- Name
- Kalan Andersen
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 1, 2021
- Certification date
- Jan 1, 2021
- Last updated
- Jan 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MSG0139898 | PA | Yes |
Practice location
1530 Locust St Apt 8fPhiladelphia, PA 19102-4424
Phone 484-999-7286
Mailing address
1530 Locust St Apt 8fPhiladelphia, PA 19102-4424
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